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General NPI Number Information
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NPI Number | 1871151860
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Entity Type | Organization
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Legal Business Name | RHONDA L. NUTTER LSCSW LLC
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 01/27/2020
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Provider Practice Location Address
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Address Line | 3500 N ROCK RD BLDG 100
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City | WICHITA
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State | KS
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Zip | 67226-1328
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Country | US
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Telephone | 316-285-0633
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 S MINNEAPOLIS AVE
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City | WICHITA
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State | KS
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Zip | 67211-2728
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Country | US
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Telephone | 316-558-6468
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. RHONDA LEE NUTTER
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Credential | LSCSW
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Telephone | 316-285-0633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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